20 Miss. Code R. § 2-XVII

Current through June 25, 2024
Section 20-2-XVII - Investigational Procedures

The following procedures are considered investigational, and, therefore, do not presently qualify for reimbursement under the Mississippi Workers' Compensation Medical Fee Schedule:

A. Intradiscal electrothermal therapy (IDET) (22526, 22527) and intradiscal annuloplasty by other method (22899).
B. Intraventricular administration of morphine.
C. Pulse radiofrequency, regardless of procedure involved or indication (e.g., medial branch radiofrequency, dorsal root radiofrequency, etc.). If pulsed radiofrequency is used, but not specifically recorded as such in the medical records, the payer may retroactively deny payment for the service and request for reimbursement from the provider.
D. Intradiscal therapies used in discography, such as percutaneous disc decompression (Dekompressor), fluoroscopic, laser, radiofrequency, and thermal disc therapies.
E. Percutaneous disc nucleoplasty.
F. Epidural adhesiolysis, also known as Racz procedure or lysis of epidural adhesions.
G. X-STOP fusion devices.
H. MILD (minimally invasive lumbar decompression) procedures.
I. Non-invasive pain procedure (NIP procedure or NIPP).
J. Alpha-stim unit.
K. ReBuilder and low laser treatment.
L. Botox for the use of musculoskeletal pain.
M. Ketamine infusion therapy.
N. Plasma rich protein (PRP) injections

20 Miss. Code. R. § 2-XVII

Adopted 6/14/2017